DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BETH ELLEN WAGNER, DO

Active

BETH ELLEN WAGNER, DO is a Family Medicine healthcare provider located in BERLIN, Vermont. NPI 1871720482 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BERLIN, VT

Registration Details

NPI Number
1871720482
Provider Type
Individual
Gender
Female
NPI Issued
Jun 22, 2009 (17.160700547158 yrs)
Last Updated
Dec 4, 2014
Licenses
5247 (AK)
032.0095970 (VT)
032.0095970 (VT)

Practice Information

Address
130 FISHER RD
HOSPITALIST PROGRAM
BERLIN, VT, 056029516
Browse VT providers · Browse ZIP 05602
Phone
8022251743
Fax
8022251745
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Hospitalist

Other Family Medicine Providers in BERLIN, VT

Name Credential NPI
DR. LEIGH S LOPRESTI MD 1619928462
DR. JOSE LOPEZ M.D. 1316981897
DR. JENNIFER BRENNAN BAMFORD MD 1053347708
BRAM STEPHEN STARR MD 1720005556
ARTURO GUAJARDO MD 1376564153
LUCY ANN PATTI MD 1386667897
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.